Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Larissa Wiedmer

Individual provider Occupational Therapist · NPI 1134954811

Larissa Wiedmer is an Occupational Therapist in Boonville, New York. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

8027 Kolosa Rd
Boonville, NY 13309-4105
Phone: (315) 709-1058
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X

Record details

NPI number1134954811
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 3, 2024
Last updated in NPPESSeptember 3, 2024
Certification dateSeptember 3, 2024

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